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Highlights2013 Health Care Summit – Understanding Social Determinants of Health . . . . . . . . . . . . . . . . . . . . . . . . 3CARDIAC Program in West Kentucky . . . . . 4Measurement of Critical Thinking . . . . . . . 6Student Spotlight . . . . . . . . . . . . . . . . . . . . 7KNA Ballot . . . . . . . . . . . . . . . . . . . . . . . . . 8

Poster Presentations 2012 Convention . . . 11KNA Members on the Move . . . . . . . . . . . . 12District 2 . . . . . . . . . . . . . . . . . . . . . . . . . 12Welcome New Members . . . . . . . . . . . . . . . 13KNA Calendar of Events . . . . . . . . . . . . . . 13Apply for KNF Scholarships and Grants . . 14Membership Application . . . . . . . . . . . . . . 14

An Award Winning Publication

THE OFFICIAL PUBLICATION OF THE KENTUCKY NURSES ASSOCIATION

Volume 61 • No. 3 Circulation 72,000 to All Registered Nurses, LPNs and Student Nurses in Kentucky July, August, September 2013

Biographical Information for2013 Election

Pages 8-10

Summit 2013Understanding Social

Determinants of HealthOctober 4, 2013

Page 3

Background:In November 2012, the National Alert

Network (NAN) reported that the U .S . Pharmacopeial Convention (USP) updated labeling standards for Heparin Sodium Injection, USP and Heparin Lock Flush Solution, USP (including heparin prefilled flush solutions) . The labeling changed from dose of drug per ml, to the identification of the total amount of drug per vial . These revised standards were official May, 1, 2013 .

Significance:Misreading of the label has led to

dangerous and deadly heparin overdoses .

Implications for Practice:Pharmacists, staff nurses, physicians,

nurse educators, and risk managers need to have a heightened awareness of the heparin label changes .

NATIONAL ALERT! IMPORTANT CHANGES IN HEPARIN VIAL LABELING

Recommended Best Practices to Minimize Patient Risk:

• Computer databases should expressdrug amounts to be consistent with vial labeling .

• Separate heparin vials and use oldervials with older labels first before dispensing the vials with updated labeling .

• Completely transition tonewly labeledheparin and discard older vials .

• Place high-alert drug warnings onautomated medication dispensers .

• Restrictmulti-doseheparinvials.• Keep unit stock vials as small as

possible to limit the potential of heparin overdoses .

• Ifaheparinbolusisrequired,considerheparin bolus doses dispensed from a pharmacy .

For more information: http://www .nccmerp .org/pdf/nANAlertJune2013 .pdf

A Change Is Gonna Come . . .

The American Nurses Association has performed extensivememberresearchover the last year and they

heard what you have to say . ANA and the KNA are planning some big changes and we are working together

to bring you some very excitingmembershipnews

soon .

Stay tuned and keep an eye outforyournexteditionofTHE KENTUCKY NURSE.

Kentucky Nurse • Page 2 July, August, September 2013

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Editor, Kentucky NurseKentucky Nurses AssociationP.O.Box2616Louisville,KY40201-2616(502)637-2546Fax(502)637-8236or email: [email protected]

#1 CarolynClaxton,RN H:502-749-7455 1421 Goddard Avenue Louisville,KY40204-1543 E-Mail:[email protected]

#2 EllaF.Hunter,RN H:859-223-8729 94SummertreeDrive Nicholasville,KY40356 E-Mail:ellafayhunter@yahoo .com

#3 DeborahJ.Faust,MSN,RN H:859-655-1961 2041 Strawflower Court Independence,KY41051 DJFaust11@gmail .com

#4 KathleenM.Ferriell,MSN,BSN,RN H:502-348-8253 125MaywoodAvenue W:270-692-5146 Bardstown, KY 40004 E-Mail:Kathleen . Ferriell@lpnt .net

#5 NancyArmstrong,MSN,RN H:270-435-4466 1881FurchesTrail W:270-809-4576 Murray, KY 42071 E-Mail:Narmstrong1@murraystate .edu

#6 OPEN

#7 LorraineB.Borman,RN H:270-745-2718 242 Bowlie Avenue Bowling Green, KY 42101 E-Mail:lorraine .bormann@wku .edu

#8 MarlenaBuchanan,RN W:270-831-9735 7475Highway283 Robards,KY42452 E-mail:marlena .buchanan@kctcs .edu

#9 PeggyT.Tudor,EdD,MSN,RN H:859-548-2540 21 Trail Lane Lancaster,KY40444-9578 E-Mail:peggy .tudor@eku .edu

#10 OPEN

#11 LorettaJ.Elder,MSN,RN,CAPA H:270-667-9801 1150BaptistHillRoad Providence,KY42450 E-Mail:lelder0001@kctcs .edu

District Nurses Associations Presidents 2013

“The purpose of the Kentucky Nurse shall be to convey information relevant to KNA members and the profession of nursing and practice of nursing in Kentucky.”

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The Kentucky Nurse is published quarterly every January, April, July and October by Arthur L. Davis Publishing Agency, Inc. for Kentucky Nurses Association, P.O. Box 2616, Louisville, KY 40201, a constituent member of the American Nurses Association. Subscriptions available at $18.00 per year. The KNA organization subscription rate will be $6.00 per year except for one free issue to be received at the KNA Annual Convention. Members of KNA receive the newsletter as part of their membership services. Any material appearing herein may be reprinted with permission of KNA. (For advertising information call 1-800-626-4081, [email protected].) 16mm microfilm, 35mm microfilm, 105mm microfiche and article copies are available through University Microfilms International, 300 North Zeeb Road, Ann Arbor, Michigan 48106.

2013 EDITORIAL BOARD

EDITORSIda Slusher, DSN, RN, CNE (2010-2013)

Maureen Keenan, JD, MAT

MEMBERSTrish Birchfield, DSN, RN, ARNP (2012-2015)Donna S. Blackburn, PhD, RN (2011-2014)

Patricia Calico, PhD, RN (2012-2015)Sherill Cronin, PhD, RN, BC (2011-2014)

Joyce E. Vaughn, BSN, RN, CCM (2010-2013)

REVIEWERSDonna Corley, PhD, RN, CNE

Dawn Garrett-Wright, PhD, RNElizabeth “Beth” Johnson, PhD, RN

Connie Lamb, PhD, RN, CNEDeborah A. Williams, RN, EdD

KNA BOARD OF DIRECTORS—2013

PRESIDENTKathy L. Hall, MSN, BSN, RN

IMMEDIATE PRESIDENTMattie H. Burton, PhD, RN, NEA-BC

VICE-PRESIDENTMichael Wayne Rager, DNP, PhD(c), FNP-BC, APRN, CNE

SECRETARYNancy K. Turner, MSN, RN

TREASURERKathy Hager, DNP, ARNP, CFNP, CDE

DIRECTORS-AT-LARGETeresa H. Huber, MSN, RN

Mary Bennett, PhD, RN, APRNPeggy T. Tudor, EdD, MSN, RN, CNE

Jo Ann Wever, MSN, RN

EDUCATION & RESEARCH CABINETLiz Sturgeon, MSN, RN

GOVERNMENTAL AFFAIRS CABINETJoe B. Middleton, BSN, RN, CC/NREMT-P, AAS-P

PROFESSIONAL NURSING PRACTICE & ADVOCACY CABINETKaren G. Blythe, MSN, RN, NE-BC

KENTUCKY NURSES FOUNDATION PRESIDENTMary A. Romelfanger, MSN, RN, CS, LNHA

KANS CONSULTANTTracy S. Patil, MSN, RN, ACNP

KNA STAFF

EXECUTIVE DIRECTORMaureen Keenan, JD, MAT

ADMINISTRATIVE COORDINATORCarlene Gottbrath

– FACT SHEET –

The number of individuals using social networking sites such as Facebook, Twitter, LinkIn, and YouTube is growing at an astounding rate. Facebook reports that over 10% of the world’s population has a Facebook presence while Twitter manages more than 140 million Tweets daily. Nurses are making connections using

social media. Recently, the College of Nurses of Ontario reported that 60% of Ontario’s nurses engage in social networking (2010).

Social networks are defined as “web-based services that allow individuals to 1) construct a public or semi-public profile within a bounded system, 2) articulate a list of other users with whom they share a connection, and 3) view and traverse their lists of connections and those made by others within the system (Boyd and Ellison, 2007).

These online networks offer opportunities for rapid knowledge exchange and dissemination among many people, although this exchange does not come without risk. Nurses and nursing students have an obligation to under-stand the nature, benefits, and consequences of participating in social networking of all types. Online content and behavior has the potential to either enhance or undermine not only the individual nurse’s career, but also the nursing profession.

Benefits• Networking and nurturing relationships• Exchange of knowledge and forum for collegial interchange• Dissemination and discussion of nursing and health related

education, research, best practices• Educating the public on nursing and health related matters

Risks• Information can take on a life of its own where inaccuracies

become “fact”• Patient privacy can be breached• The public’s trust of nurses can be compromised• Individual nursing careers can be undermined

ANA’s Principles for Social Networking 1. Nurses must not transmit or place online individually

identifiable patient information.2. Nurses must observe ethically prescribed professional patient — nurse boundaries.3. Nurses should understand that patients, colleagues, institutions and employers may view postings.4. Nurses should take advantage of privacy settings and seek to separate personal and professional information

online.5. Nurses should bring content that could harm a patient’s privacy, rights, or welfare

to the attention of appropriate authorities.6. Nurses should participate in developing institutional policies governing online

conduct.

ReferencesAnderson, J., & Puckrin, K. (2011). Social network use: A test of self-regulation. Journal of Nursing Regulation, 2(1), 36-41.Boyd, S., & Ellison, N.B. (2007). Social network sites: Definition, history, and scholarship. Journal of Computer Mediated Communication, 13(1), 210-230.

Navigating the World of Social Media

8515 Georgia Avenue, Suite 400Silver Spring, MD 20910

1-800-274-4ANAwww.NursingWorld.org

July, August, September 2013 Kentucky Nurse • Page 3

THIS PROGRAM SHOULD BE ATTENDED BY EVERYNURSE AND OTHER HEALTHCARE PROFESSIONAL IN

KENTUCKY

Summit 2013Understanding Social Determinants of Health

Friday, October 4, 2013

Capitol Plaza Hotel, Frankfort, KY

AGENDA

7:30 am Registration and Continental Breakfast

8:45am Welcome – Kathy Hall, KNA President

9:00am Healthy Kentuckians 2020 Kraig Humbaugh, MD Deputy Commissioner & Director of Epidemiology & Health Planning, Department for Public Health

9:45am Break

10:00 am Economic Stability: Bridges out of Poverty Nancy Garth, RN, BSN, CLNC, FCN Health Education Coordinator, UK Polk Dalton Clinic & Family Care Center

10:45am Education: Policies and Environments that Promote School Health Eva Stone, ARNP District Health Director, Boyle County Schools

11:30 am Lunch

12:30 pm Social and Community Context: Family, Culture, Equity LindaAlexander,Ed.D University of Kentucky, Department of Health Behavior

1:15pm Natural and Built Environments: Physical Determinants of Health Dr . Sheila Pressley Environmental Health Science Coordinator, Eastern Kentucky University

2:00 pm Break

2:15pm Health & Health Care: Access, Clinical, Preventive, Technology Gabriela Alcade, MPH, DrPH (Invited) Health Policy Director, Foundation for a Healthy Kentucky

3:00 pm Implications for Nursing: Panel Discussion Facilitator: Rosie Miklavcic, BSN, MPH Director of the Office of Nursing, Kentucky Department for Public Health

3:45pm Evaluations

4:00 pm Awarding of Certificates & KNA Business Meeting

CONTACT HOURS: 6 .6 KBN Contact Hours provided through the Kentucky NursesAssociation (KNA) .

KBN PROVIDER OFFERING:#1-001-018-006.

LOCATION:CapitalPlazaHotel,405WilkinsonBoulevard,Frankfort,KY40601

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Accent On ResearchCARDIAC Program in West Kentucky:

A Retrospective Data AnalysisDana Manley, PhD, APRNKaty Garth, PhD, APRNDina Byers, PhD, APRNMurray State University

School of NursingMurray, KY 42071

AbstractObesity is a leading contributing factor resulting

in a multitude of health problems for adults and children throughout the United States . Kentucky statistics reveal 37.1% of children aged 10-17 asbeing classified as overweight and obese . Obesity in children increases the risk for cardiovascular and other health conditions such as high blood pressure, hyperlipidemia, and diabetes . In order to better understand obesity and cardiovascular risks of children in Western Kentucky, several community organizations formed a partnership to assess the risks of fourth grade children . This partnership consisted of collaboration between multiple health care organizations to assess body mass index,fitness scores, capillary glucose and cholesterol, and blood pressure. This article explains the findingsfrom a retrospective data analysis related to this implementation program .

IntroductionObesity is a leading factor that contributes to

a multitude of health problems for adults and

children throughout the United States . Current statistics report that the prevalence of obesity in school aged children aged 6-11 tripled from 1980to2004with increases from6.5%to19.6% (Ogden,2010) . Furthermore, the prevalence of obesity in adolescentsaged12-19 increased from5% to18.1%during the same time frame (Ogden, 2010) . The prevalence of obesity in Kentucky has followed this trend with statistics revealing 37.1% of Kentucky’schildren aged 10-17 classified as overweight andobese (Centers for Disease Control, 2010) . In fact, Kentucky childhood obesity and overweight rates are ranked fourth compared to other U .S . states (Foundation for a Healthy Kentucky & The Health Foundation of Greater Cincinnati, 2012) . In order to better understand the impact of obesity and associated health problems of children in Western Kentucky, the Purchase Area Health Education Center collaborated with several community organizations and formed partnerships to assess the cardiovascular risk factors of fourth grade children . This partnership consisted of collaboration between multiple health care organizations to assess body mass index, fitness scores, capillary glucose andcholesterol, and blood pressure . The program was titled Coronary Artery Risk Detection in All Children (CARDIAC) . The purpose of this paper is to discuss the CARDIAC program and to describe the results of thedatafromthe2008-2009CARDIACscreenings.

CARDIAC OverviewCARDIAC is a cardiovascular risk detection

program targeting fourth grade students . The mission of this program is to increase awareness of cardiovascular disease and obesity in children . The Purchase Area Health Education Center (AHEC) spearheaded thisprogramandprovidedequipment,staff, and other resources to support this program . Purchase AHEC partnered with several community organizations in the implementation of this program . Partners in this program included; several West Kentucky schools and Family Resource Centers, Lourdes Hospital, Livingston County Hospital, Crittenden County Health Systems, Parkway Regional Hospital, Pennyrile District Health Department, Marshall County Hospital, Marshall County Health Department, and Murray State University School of Nursing . The partners provided staff and other resources to assist Purchase AHEC with the data collection process of this program .

Study PurposeThe purpose of this study was to determine

the prevalence of overweight and obesity and cardiac risk factors among fourth grade students participating in the 2008-2009 CARDIAC program.The study examined the relationship between bodymass index, fitness scores, and cholesterol amongthe participants . Early identification of students

CARDIAC Program continued on page 5

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Accent On Researchat risk for cardiovascular disease is essential to improve their health . This study provides aggregate data that will be useful when designing interventions to improve the health of school aged children in West Kentucky .

Research Design and MethodsThe research design was a retrospective data

analysis of assessment data from the 2008-2009CARDIAC program . All identifying information was removed prior to the data analysis process . Prior to beginning the analysis, the Institutional Review Board from Murray State University reviewed the study and granted a waiver of consent . Data consisted of age, gender, height, weight, body mass index (BMI), fitness score, bloodpressure, capillarycholesterol and glucose results . The data collection procedure consisted of height and weight that was measured on the same calibrated scale with no shoes.Bodymass index (BMI)wascalculatedusingthe Centers for Disease Control (CDC) guidelines of age and gender . Obesity is defined as BMI at or abovethe95thpercentileontheCDCandPreventionBMI-for-age growth charts. Overweight is definedas BMI at 85th-94th percentile and healthy is 5thto 84th percentile (CDC, 2010) . Blood pressure percentile norms based on age and gender were used to determine normal and abnormal blood pressure results (National Heart, Lung, and Blood Institute, 2009). Cholesterol values were evaluated based onAmerican Heart Association guidelines with an acceptable range less than170,borderline170-199,and elevated 200 or greater (2010) . Fasting capillary glucose results were considered normal at a level of less than 100 (American Diabetes Association, 2010) . The aerobic fitness score was obtained using the Harvard Step Test . The step test procedure consists of the student stepping up and down on a 20 inch platform for 5minutes. The student sitsimmediately after the test while the heart rate is counted.Theparticipant’sfitnessscoreiscalculatedbasedonthedurationofexerciseandthepulserateusing the following formula: (100x testduration inseconds) divided by (5.5 x pulse). The rating scoreresults include: excellent (greater than or equal to90); good (80-89); average (79-55); poor (less than55) (The McGraw Hill Companies, 2002). Eachof these tests are reliable and valid to measure cardiovascular fitness in children .

Data AnalysisStatistical analysis was performed using

Statistical Package for the Social Sciences (SPSS) . Descriptive statistics of means, standard deviations, and frequencies were calculated. Pearson’scorrelation coefficient was used to examine therelationship between BMI, aerobic fitness and cholesterol. A p-value of < 0.05 was consideredsignificant .

ResultsThe sample consisted of 842 fourth grade

students from six Western Kentucky counties andseventeen elementary schools . The age range of studentswas from9 to10yearsof agewith46.9%(n=395) male and 53% (n=446) female. Resultsrevealed that 54.5% (n=459) of participants werein the healthy weight range, while 18.3% (n=154)were overweight, and 24 .7% (n=208) were obese . Participant’s fitness scores were as following: 0.6%(n=5) excellent; 2.9% (n=24) good; 49% (n=408)average;and47.5%(n=396)poor.Fitnessscoreswerecompared to the BMI (Table 1) .

CARDIAC Program continued from page 4 Table 1Fitness category compared to BMI

Fitness Category

BMI Poor Average Good Excellent Total

Underweight 63% (n=12) 36% (n=7) 0 0 19

Healthy Weight

37% (n=168) 58% (n=266) 3.9% (n=18) 1% (n=4) 456

Overweight 52% (n=80) 45% (n=70) 2% (n=3) 0 153

Obese 66% (n=136) 32% (n=65) 1.5% (n=3) 0.5% (n=1) 205

Total 396 (47.5%) 408 (49%) 24 (2.9%) 5 (0.6%) 833

Of particular concern was the finding that 37% (n=168) of healthy weight children had a poor fitness score.Meancholesterolresultswere154.92(range89to295).Averageglucoseresultswere83.9(range39to158).Averagebloodpressurewas106/67.TherelationshipsamongBMI, fitnessscore,andcholesterolwereexploredusingcorrelationalanalysis.ModestpositivecorrelationsbetweenBMIandcholesterolwerefound.An inverse correlation found between BMI and fitness score and fitness score and cholesterol (see Table 2) .

Table 2:Correlation results among BMI, cholesterol, and fitness score

Fitness Score Cholesterol

Body Mass Index r =P =

-0.2140.000

0.2190.000

Fitness Scorer =P =

-0.0940.007

DiscussionOf the 833 students participating in the program,

43% (n=362) were classified in the overweight and obese range . These results indicate a higher incidence of obesity and overweight in the sample population than for Kentucky as a whole . In 2010 it was estimated that 37.1% of Kentucky’s childrenaged 10-17were classified as overweight and obese(Centers for Disease Control, 2010) . The increased numbers of overweight and obese students in this sample is concerning due to increased health problems associated with this population and the complications that can occur as a result of obesity . Nighttime breathing problems, joint problems

and pain, hypertension, Type II diabetes, elevate cholesterol, social withdrawal, and depression may occur in obese children (Hudson & Christie, 2011) .

Fitness scores results revealed that 47.5% ofstudents scored in the poor range . It would be expected that the majority of students classifiedas overweight and obese would have poor fitness scores. This assumption held true, as 52% (n=80)of overweight and 66% (n=136) of obese students scored in the poor range. However, in examiningthose students who had what would be considered a healthy BMI, it was determined that 37% (n=168) scored in the poor fitness score range . This was a serendipitous finding that could be explained bythe evaluator’s technique, the student’s effort inthe fitness test, and other extraneous variablesthat are difficult to control . Although there are variables influencing this finding, this data does raise the concern that healthy weight children have poor fitness scores, which may put them at cardiovascular risk . This finding reflects the need to address overall physical activity fitness, as well as weight in efforts to improve child health . Additional information examining the poor fitnessscores in healthy weight children is indicated . An examination of average fitness scores revealed that58%(n=266)ofhealthyweightstudents,45%(n=70)of overweight students, and 32% (n=65) of obesestudent scored in that range . Several studies have found that lower adiposity and body composition are associated with higher fitness scores (Ostojic & Stojanovic,2010;Hussey,Bell,Bennett,O’Dwyer,&Gormely, 2007) .

Correlational data revealed an inverse relationship between BMI and fitness score and fitness score and cholesterol . This finding is

CARDIAC Program continued on page 6

consistent with other studies that have found a negative relationship between BMI, aerobic fitness, and physical activity in youth (Ekelund et al ., 2004; La Masurier & Corbin, 2006; Rowlands et al ., 1999).Thesefindingssuggestthat increasedBMIisassociated with lower levels of aerobic fitness and higher cholesterol levels in this population . Although the factors that lead to an increased BMI in an individual can be numerous, physical inactivity and diminished aerobic fitness are significant contributors . Furthermore, correlation data revealed a positive correlation among BMI and cholesterol . Higher BMI levels were associated with higher cholesterol levels in this sample . Although these results cannot be generalized to all populations the findings support the need for reducing BMI and increasing physical activity levels in youth . The consequenceofincreasedBMIinyouthisconcerningwith multiple studies linking childhood obesity to subsequent morbidity and mortality in adulthood

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Accent On ResearchCARDIAC Program continued from page 5

(DiPietro, Mossberg, and Stunkard, 1994; Must,Jacques, Dallal, Bajeme, and Dietz, 1992; Nieto,Szdol, and Comstock, 1992). Therefore, effectiveinterventions aimed at reducing childhood obesity willimprovehealthandqualityoflife.

ConclusionThe CARDIAC program is an effective screening

program to identify students at risk for future cardiovascular health conditions . The findings revealed that 43% of students were classified as overweight or obese . This finding is higher than the Kentucky rates and indicates the need for health education and intervention to improve these rates . Furthermore, the overall fitness scores were low . Even healthy weight students had low fitness scores . Certainly the testing procedure could be one limitation of these results; however, education and access to physical activity is essential for the health of Kentucky students . Collaboration with community leaders in the medical, educational, and social systems throughout Kentucky counties are necessary for improvements in this area .

ReferencesAmerican Diabetes Association . (2010) . Diabetes

basics . Retrieved 11/10/10 from http://www .diabetes.org/diabetes-basics/prevention/pre-diabetes/pre-diabetes-faqs.html .

American Heart Association . (2010) . Cholesterol and atherosclerosis in children . Retrieved 11/10/11 from http://www .americanheart .org/presenter .jhtml?identifier=4499

Centers for Disease Control . (2010) . Clinical growth charts . U .S . Department of Health and Human Services . Retrieved 11/08/11 from http://www .cdc .gov/growthcharts/clinical_charts .htm

Centers for Disease Control. (2010). 2007-2008NationalHealthandNutritionExaminationSurvey(NHANES) . U .S . Department of Health and Human Services . Retrieved 11/08/11 from http://www .cdc .gov/obesity/childhood/index/html

DiPietro, L ., Mossberg, H . O ., & Stunkard, A . J . (1994). A 40-year history of overweight childrenin stockholm: Life-time overweight, morbidity,and mortality . International Journal of Obesity and Related Metabolic Disorders, 18(9),585-590.

Ekelund, R ., Sardinha, L .B ., Anderssen, S . A ., Harro, M ., Franks, P .W ., Brage, S, Cooper, A .R ., Andersen, L .B ., Riddoch, C ., & Frober, K . (2004) . Associations between objectively assessed physical activity and indicators of body fatness in 9- to 10-y-oldEuropeanchildren:apopulation-basedstudyfrom4 distinct regions in Europe (the European Youth Heart Study) . American Society for Clinical Nutrition, 80(3),584-590.

Foundation for a Healthy Kentucky & The Health Foundation of Greater Cincinnati . (2012) . 2011 Kentucky health issues poll: Spotlight on Western Kentucky. Louisville, KY: Authors .

Hudson, L . & Christie, D . (2011) . Tackling overweight and obesity in the school setting . British Journal of School Nursing, 6(7),329-333.

Hussey, J., Bell, C., Bennett, K., O’Dwyer, J.,& Gormely, J . (2007) . Relationship between the intensity of physical activity, inactivity, cardiorespiratory fitness and body composition in7-10yearoldDublinchildren.British Journal of Sports Medicine, 41(5),311-316.

LaMasurier, G .C . & Corbin, C .B . (2006) . Steps count among middle school students vary with aerobic fitness level . Research Quarterly for Exercise and Sport, 77(1),14-29.

Must,A.,Jacques,P.F.,Dallal,G.E.,Bajema,C.J.,& Dietz, W. H. (1992). Long-term morbidity andmortality of overweight adolescents. A follow-up ofthe Harvard growth study of 1922 to 1935. New England Journal of Medicine, 327(19),1350-1355.

Nieto, F. J., Szklo, M., & Comstock, G. W. (1992).Childhood weight and growth rate as predictors of adult mortality . American Journal of Epidemiology, 136(2),201-213.

Ogden, C .L ., Carroll, M .D ., Curtin, L .R ., Lamb, M .M ., Flegal, K .M . (2010) . Prevalence of high body mass index inUSchildrenandadolescents,2007–2008.JAMA, 303(3),242–9.

Ostojic, S .M . & Stojanovic, M .D . (2010) . High aerobic fitness is associated with lower total and regional adiposity in 12 year old overweight boys . The Journal of Sports Medicine and Physical Fitness, 50(4),443-449.

National Heart, Lung, and Blood Institute. (2009).Blood pressure tables for children and adolescents . National Institutes of Health . Retrieved 11/10/10 from http://www .nibi .nih .gov/guidelines/hypertension/child_tbl .htm .

Rowlands, A . V ., Eston, R . G ., & Ingledew, D . K . (1999).Relationshipbetweenactivitylevels,aerobicfitness, and body fat in 8- to 10-yr-old children.Journal of Applied Physiology, 86(4),1428-1435.

The McGraw Hill Companies . (2002) . Measurement of cardiovascular endurance: The step test . Retrieved 11/08/11 from http://www .mhhe .com/catalogs/sem/hhp/faculty/labs/index.mhtml?file=/catalogs/sem/hhp/labs/cardiovascular/11

Measurement of Critical Thinking for theRN to BSN Student

Cathy Abell, PhD, RN, CNEM. Susan Jones, PhD, RN, CNE

Deborah Williams, EdD, RN School of Nursing

Grace Lartey, PhDDepartment of Social Work

Western Kentucky University

Critical thinking is a necessary skill for professional nurses and has been noted to be key for successful nursing practice in the 21st century (Gyeong & Myung, 2008) . The American Association of Colleges of Nursing (AACN) defines critical thinkingas“Allorpartoftheprocessofquestioning,analysis, synthesis, interpretation, inference, inductive and deductive reasoning, intuition, application, and creativity” (2008, p . 36) . Nurse educators are challenged to incorporate various teaching/learning activities and create opportunities to develop critical thinking skills as students’progress through their nursing program (Billings & Halstead,2009).Itisalsoimportantforeducatorstoevaluate nursing curricula for the impact on critical thinking (Billings&Halstead,2009;Shin,Lee,Ha,& Kim, 2006) .

Consistent with the Essentials of Baccalaureate Education for Professional Nursing Practice developed by the AACN, critical thinking is noted as an important program outcome of a Registered Nurse to Baccalaureate of Science in Nursing (RN to BSN) program in a state university in south central Kentucky. When deciding on how to quantitativelyevaluate this outcome, faculty reviewed critical thinking instruments available at the time and selected the InterEd Critical Thinking Nursing Instrument (CTN) as a measurement tool . The instrument was relatively inexpensive and hadacceptable reliability scores . Additionally, InterEd offered customized, machine scoring and reporting of scores .

PurposeThe purpose of this research study was to

examine the effect of a RN to BSN nursingcurriculum on critical thinking skills of registered nurses . The InterEd Critical Thinking Nursing Instrument (CTN) was utilized as a measure of critical thinking .

MethodsApproval was obtained from the Institutional

Review Board at the institution where the students were enrolled to conduct this quasi-experimental,pre-test/post-test design study. A conveniencesample of students enrolled over a 10-year period(1999-2009)inanRNtoBSNprogramwasused.

The RN to BSN curriculum experienced somechanges throughout the period of data collection, but maintained the consistent content to include leadership and management, research, professional issues, community/public health, and nursing informatics . During the data collection timeframe, this RN to BSN program allowed the students flexibility in progression through the program.During a regularly scheduled class meeting of a professional issues course required during the firstsemester, students completed the InterEd Critical ThinkingNursingInstrument(CTN)asapre-test.Ina capstone course during the final semester students were asked to complete the InterEd Critical Thinking Nursing Instrument (CTN)asecond timeasapost-test .

The InterEd Critical Thinking Instrument (CTN) consisted of 103 items . The items represented two critical thinking concepts: critical thinking disposition and critical thinking skills. Each concept had two subscales . The critical thinking disposition concept included the subscales of self-efficacy and disposition toward rational processes. The critical thinking skills concept included the subscales of logical thinking and decision skills and decision under uncertainty skills (InterEd, 2007) .

Two of the subscales, self-efficacy and disposition toward rational processes measured students’attitudes toward matters relevant to critical

thinking. Self-efficacy reflects how studentsperceive their effectiveness in a decision making environment . Disposition toward rational processes refers to the value individuals place on rational processes and their attitude toward objectivity . The two remaining subscales, logical thinking and decision skills and decision under uncertainty skills, measured students’ critical thinking skills.The logical thinking and decision skills concept is what many critical thinking tests attempt to quantitatively measure and includes the ability todrawn inferences and make generalizations . Decision under uncertainty skills reflected making decisions in actual situations (InterEd, 2007) . Alpha coefficients of the scales have been reported to range from 0 .80 – 0.90andtestreliabilitycoefficientswerereportedtobegreaterthan0.75(InterEd,n.d.).

ResultsA total of 381 RN to BSN students completed the

surveyoverthe10-yearperiod.Outofthatnumber,237 surveys were declared unusable (pre-test orpost-test was missing). One hundred and fortyfour surveys (pre/post surveys) were successfully matched and declared usable for the analyses . To assess changes in critical thinking over time, data were analyzed using the Statistical Package for the Social Sciences (SPSS) version 16.0. One-way repeated measures (ANOVA) was used to measure the change in critical thinking of students as measured on the pre-test and post-test. Theindependent variable was the intervention (RN to BSNnursingcurriculum).Studentstookthepre-testwhentheyfirstenrolledintheprogramandthepost-test at the point of graduation from the program . The dependent variable was the change in the critical thinking skills of these students after exposure tothe RN to BSN nursing curriculum .

Results indicated there was no statistically significant change in students’ self-efficacy [pretest, M = 61 .20, SD = 27 .40; posttests, M = 64 .00, SD = 29.22]; F(1, 143) = 1.45, p > 0.05), logical thinking

Measurement of Critical Thinking continued on page 7


and decision skills [pretest,M = 55.42, SD = 28.14;posttest,M = 54.23, SD = 26.40]; F(1, 143) = 0.26,p > 0.05), and decision under uncertainty skills [pretest, M = 63 .40, SD = 27 .20; posttest, M = 64 .41, SD = 28.00]; F(1, 143) = .13, p > 0.05). However,a statistically significant change was noted in students’ disposition toward rational processes F(1, 143) = 9.43, p < 0.01) (Table 1). Themean for thissubscaleranged from56.10 [SD=27.10] (pretest) to63.10[SD=27.43](posttest).

DiscussionFaculty in this RN to BSN chose the InterEd

Critical Thinking Nursing Instrument (CTN) to measure critical thinking . The results of this study indicated that a statistically significant change occurredinthestudents’dispositiontowardrationalprocesses, but no statistically significant change was noted in student’s self-efficacy, logical thinking and decision skills, and decision uncertainty skills. This inconsistency in findings is similar to what has been noted in previous studies regarding the measurement of critical thinking (Leppa, 19997;Spelic et al ., 2001) .

Walsh and Seldomridge (2006) used the California Critical Thinking Disposition Inventory and the Watson-Glaser Critical Thinking Appraisal tomeasure critical thinking . Results indicated gains in critical thinking disposition of some cohorts and lossesinothercohorts.Theywereunabletoexplaintheinconsistentfindingsandposedquestionsaboutthe definition and use of standardized instruments to measure critical thinking (2006) .

Findings from this study support the questionsregarding defining and measuring critical thinking posed by Walsh and Seldomridge (2006) . If critical thinking is an essential component of professional nursing practice, perhaps there should be consistency in how it is defined and measured . One must also consider the intervention for the study . Similar to other RN to BSN curriculum, the intervention was a composite of selected courses focusing on research, leadership and management, and community health with incorporated assignments thought to develop critical thinking skills. One could question if the intervention couldbe directly linked to an improvement in critical thinking skills as findings supported a change in students’ disposition toward rational processes, but not in students’ self-efficacy, logical thinking and decision skills, and decision under uncertainty skills.

Measurement of Critical Thinking continued from page 6

Accent On ResearchStudents entered the program with varying

general education courses and hours and were able to select the number of nursing and/or general education courses they took each semester . As a result the timeframe for completing the program ranged from one year to several years . Some subjectscompletingthepost-teststilllackedgeneraleducation courses . A majority of the students maintained full-time employment. The change incritical thinking noted could have been related to individualclinicalexperiences.Aftercompletingthecurriculum and having the opportunity to apply the knowledge they obtained in a clinical setting may be when the change in critical thinking occurs .

Strengths and limitationsStrengths of the study included the timeframe

and sample size. One hundred and forty-fourstudents enrolled in a RN to BSN program during a 10-yearperiodwere included inthestudy. Anotherstrength was the reported reliability coefficients of the instrument . Limitations included a convenience sample of subjects enrolled in the same RN to BSN program; therefore, caution would have to be taken when generalizing the findings . Also, not having demographic information for the subjects was seen as a limitation. Extraneous factors such as lengthof time enrolled in the program, number of years in practice, previous degree, and age may have influenced critical thinking scores .

ImplicationsThis study adds information to the literature

regarding measurement of critical thinking and has implications for nursing education and research . As noted, the findings support that the RN to BSN curriculumhadaneffectonthestudents’dispositiontoward rational processes as measured by the InterEd Critical Thinking Nursing Instrument (CTN) . The inconsistent finding of not noting a statistically significant change in all subscales may cause one to questionthevalidityoftheinstrumentinmeasuringcritical thinking in this population of students . More research should be conducted regarding measurement of critical thinking and the effect of specificteachingpraxesandassignments.

Even though the InterEd Critical Thinking Nursing Instrument (CTN) is no longer available, faculty had the professional responsibility to share this information to add to the available body of knowledge regarding measurement of critical thinking . This study could be replicated using an instrumentcurrentlyavailable.Examiningtheeffect

of other variables such as practice area, number of years in practice, previous degrees, and age on critical thinking would also be important .

ConclusionNurses are faced with a variety of patients,

whether an individual, family, group, or community, that responds uniquely to health care problems.They must be able to utilize their nursing knowledge to provide appropriate education and/or care in each situation to promote a positive outcome . This requires that nurses possess critical thinkingskills and critical thinking disposition (Billings & Halstead,2009). Findings from this study indicatethat this particular RN to BSN curriculum had a positive impact on the students’ disposition towardrational processes component of critical thinking as measured by the InterEd Critical Thinking Nursing Instrument (CTN) . Nurse educators must continue to discuss how to not only best measure critical thinking, but to design nursing curriculum to enhance critical thinking of graduates .

ReferencesAmerican Association of Colleges of Nursing (2008) .

The Essentials of Baccalaureate Education for Professional Nursing Practice. Washington, DC: Author .

Billings,D.M.,&Halstead,J.A.(2009).Teaching in nursing: A guide for faculty (3rd ed .) . St . Louis, MO: Saunders Elsevier .

Gyeong, J . U ., & Myung, S . Y . (2008) . Critcal thinking and learning styles of nursing students at the Baccalaureate nursing program in Korea . Contemporary Nurse, 29(1),100-109.

InterEd (n .d .) . Fact Sheet.Phoenix,AZ:Author.InterEd (2007) . Critical ThinkingNursingReport .

Walworth, WI: Author .Leppa, C. J. (1997). Standardized measures of

critical thinking: Experience with the CaliforniaCritical Thinking Tests . Nurse Educator, 22(5),29-33 .

Shin, K . R ., Lee, J . H ., Ha, J . Y, & Kim, K . H . (2006) . Critical thinking dispositions in baccalaureate nursing students . Journal of Advanced Nursing, 56(2),182-189.

Spelic, S . S ., Parsons, M ., Hercinger, M ., Andrews, A ., Parks, J ., and Norris, J . (2001) . Evaluation of critical thinking outcomes of a BSN program . Holistic Nursing Practice, 15(3),27-34.

Walsh, C .M ., & Seldomridge, L . A . (2006) . Critical thinking: Back to square two. Journal of Nursing Education, 45(6),212-218.

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Biographical Information for2013 Election

The following is the biographical information furnished by the candidates on the 2013 ballot for election to service . Ballot will be mailed to all active KNA members in early August 2013 . Please keep this information for easy reference when your ballot arrives. You can also log-in to the Members OnlySection of the KNA Website .

BOARD OF DIRECTORS AND OFFICERS (5)

President-Elect (1)Teresa H. Huber, MSN, RN – District 3Present Position: Northern Kentucky UniversityType of Position: Nursing FacultyArea of Expertise: EducatorEducation: Bellarmine University, BSN; Northern Kentucky University, MSN; University of Kentucky, Doctor of Nursing Practice (candidate)Professional Organizational Activities: District: Past President of District 3 (2 terms) State: KNA Board of Directors, Director At Large (2 terms) National:Statement: Nurses are well positioned to be significant leaders as our nation encounters challenges and opportunities presented by the healthcare transformation . The U .S . healthcare system is changing in dramatic ways, requiringnurses to possess advanced skills and knowledge . As critical thinkers and problem solvers, the nursing profession must embrace these changes as learning opportunities . Nurses must be engaged in learning as a lifelong, ongoing process that promotes personal and professional growth . I welcome the opportunity tocontributetothefutureofnursinginaPresident-elect position. As a dedicated long-term memberof KNA, and active participant in KNA activities, I feel truly committed to the progression and growth of Kentucky’s nurses, in shaping the future of thenursing profession . If elected, I will bring to this position the knowledge I have gained in a variety of leadership positions, as well as my numerous yearsofexperienceasaregisterednurse. Iwillusemy leadership experience and expertise to exploreways in which KNA may best meet the needs of Kentucky’snurses,helpingtoguideKentuckynursesinto the future . I would be honored to serve as your President-elect.

Biographical Information continued on page 9

When disaster strikes,who will respond?

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Student SpotlightKELLY RANA, LPN

RN StudentFortis College, Cincinnati, Ohio

“WHEN”

When………………… . .

When my thoughts are like time

Always

Passing, never ending

And

Always

Starting back at the beginning .

When my thoughts are no longer my own .

When faces turn to rust .

When words become hollow .

When feelings become unfamiliar .

When I hear your name

But am unable to recall my own .

………………………… .When

DRAFT


Vice-President (1)Michael Wayne Rager, DNP, PhD(c), MSN, FNP-BC, APRN, CNE – District 11Present Position: Daymar CollegeType of Position: Dean of NursingArea of Expertise: Administration and EducationEducation: University of Colorado at Colorado Springs, DNP; North Central University, PhD(c); Spalding University, FNP; University of Southern Indiana, MSN; University of Louisville, BSN; Madisonville Community College, AAS/ADN/AA; Madisonville Health Technology Center, Diploma of Practical NursingProfessional Organizational Activities: District: State: KNAVice-PresidentNational: ANA Alternate DelegateStatement: It would a great honor to serve KNA for another term as Vice-President, which hasprovided even more value to my practice, ability to reach students regarding the value of professional organization membership, and work on issues that influence patient care and nursing practice . I believe that my efforts during my last appointment, intertwined with a variety of experiences as aclinician, educator, and diversified educational preparation have prepared me to effectively help continue to lead KNA, and also have met the position requirements as detailed within theKNA by-laws. I am enthusiastic, willing to workdiligently to represent KNA/ANA constituents with the highest regard and be sensitive to issues affecting the profession . Please provide me with the utmost consideration and allow me the awesome opportunity to continue serving and representing our organization .

Secretary (1)Beverly Rowland, MSN, RN, CNE – District - 7Present Position: Campbellsville UniversityType of Position: Director of RN to BSN ProgramArea of Expertise: Administrator, EducatorEducation: Indiana University, PhD (pending 2013); Western Kentucky University, MSN; McKendree University, BSN; Henderson Community College, ADNProfessional Organizational Activities: District: State: Member Professional Nursing Practice Cabinet 2009-2011,2011-2013National:ANADelegate2011-2012Statement: As my service in the Professional Nursing Practice and Advocacy Cabinet draws to an end, I am seeking the position of secretary with the KNA . I have enjoyed serving with the Cabinet and am especially proud of the work that we have done with the “Surviving Your First Year” series of educational offerings for new graduates and others . I plan to continue working with the many members who have contributed to that effort . In the future, I would like to contribute to our state organization by working with the Board to identify ways to involve more members in service to the profession .

Directors (2)Mary Bennett, PhD, FNP, RN – District 7Present Position: Western Kentucky UniversityType of Position: Director, Western Kentucky University School of NursingArea of Expertise: Educational Administrator, Nurse PractitionerEducation: RUSH University, PhD Medical Nursing; Indiana State University, Post-MS Certificate Family Nurse Practitioner, MSCommunity Health Nursing/Nursing Education; BS Nursing, AD Nursing; Indiana Vocational and Technical College, LPNProfessional Organizational Activities: District: State: Governmental Affairs Cabinet 2009; KNABoardDirector-at-Large2011-2013National:Statement: I believe that I have skills and contacts that help me serve as a valuable member of the board for KNA . Since becoming director of WKU School of Nursing, I have had the opportunity to meet with both State and Federal representatives concerning the needs of nursing education, and of nurses in practice . As both a nurse educator and a family nurse practitioner, I am acutely aware of the effects of governmental policies on our ability to educate future nurses and ability to provide care for people who may or may have health care coverage . I am particularly interested in nursing having a

Biographical Information continued from page 8 voice as we focus governmental attention on the development of a more comprehensive health care system in the US . I also serve as a board member for the KCNPNM and a member of the KNCC . This helps me act as a conduit of information among these key nursing organizations in Kentucky .

Peggy T. Tudor, EdD, MSN, RN – District 2Present Position: Eastern Kentucky UniversityType of Position: Chairperson, Department of Associate Degree NursingArea of Expertise: Educational AdministratorEducation: University of Kentucky, EdD, MSN, BSNProfessional Organizational Activities: District: CurrentDistrict9President,MembersofNominatingCommittee State: Currently Director of KNA Board of Directors National:Statement: Kentucky Nurses Association (KNA) is theonlyfull-serviceprofessionalorganizationforthestate’sentirenursepopulation,butourmembershiphas dwindled in recent years . In order for KNA to promote the role of the nurse in health care in our Commonwealth, we need a strong membership base . If elected, I will strive to ensure that this organization represents every nurse in our state, and work towards increasing membership and voice at the “grass roots” level . As a member of the Board of Directors, I will promote the essential role of the registered nurse in health care delivery and serve as anadvocateforqualitypatientcareinallsettings.

ETHICS & HUMAN RIGHTS (4)

CHAIRPERSON (1)Clara Dorris, RN, BSN, MS – District 8Present Position: KCTCS, Daymar CollegeType of Position: Adjunct FacultyArea of Expertise: EducatorEducation: Murray State University, Masters of Science in Education; University of Evansville, BSN; Murray State University, Bachelor of Science in VocationalTechnicalEducation;Owensboro-DaviessCounty Hospital School of Nursing, DiplomaProfessional Organizational Activities: District: State: Chairperson, Ethics and Human Rights Committee(2011-2013)National:Statement:

SECRETARY (1)Dana Manley, APRN, PhD – District 5Present Position: Murray State UniversityType of Position: Assistant ProfessorArea of Expertise: EducatorEducation: UT Health Sciences Center in Memphis, PhD Nursing; Murray State University, MSN and BSNProfessional Organizational Activities: District: State: National:Statement:

MEMBER AT LARGE (2)Shelly D. Chandler, MSN, RN, ACNS-BC, EMT-B – District 8Present Position: Henderson Community CollegeType of Position: Assistant Professor of NursingArea of Expertise: EducatorEducation: Western Kentucky University, FNP, Post-Master’s Certificate Program; Murray StateUniversity, MSN, Clinical Nurse Specialist Program and BSN; Henderson Community College, ADNProfessional Organizational Activities: District: President, President-Elect, Recording SecretaryState: Ethics and Human Rights Committee Member National: ANA House of DelegatesStatement: As an active member of KNA, I feel it is my responsibility to serve my fellow nurses . I believe it is important for the nurses living and practicing within Kentucky to have the most up to date information available to them in regards to ethics and human rights . I further believe we all have a duty to act to safeguard both the public and our fellow nurses in these matters . If elected, I will do my best to insure these safeguards are in place by serving as a resource and providing information on the Code of Ethics for Nurses to nurses as well as nursing students and other interested groups .

Eula J. Spears, BSN, MsEd, RN – District 2Present Position: University of KentuckyType of Position: Faculty (part-time) University ofKentucky College of Public Health . Adjunct Professor, University of ArizonaArea of Expertise: EducatorEducation: University of Kentucky, BSN and MsEd; Emory University, Post-Certificate Certificate inEpidemiologyProfessional Organizational Activities: District:

Vice President State: Several positions in the past butnotinthepast5yearsNational:Statement:

NOMINATING COMMITTEE (4)M. Susan Jones, PhD, RN, CNE, ANEF – District 7Present Position: Western Kentucky University School of NursingType of Position: Professor of NursingArea of Expertise: EducatorEducation: University of Cincinnati, PhD; Vanderbilt University, MSN; University of Tennessee at Memphis, BSNProfessional Organizational Activities: District: State: Nominating Committee, Chairperson 2012-2013, KNA President 2005-2010 National: ANA DelegateStatement:

Connie D. Lamb, PhD, RN, CNE – District 2Present Position: Eastern Kentucky UniversityType of Position: Tenure-Track Faculty, AssociateProfessorArea of Expertise: EducatorEducation: University of Kentucky, PhD; Eastern Kentucky University, MSN; Berea College, BSNProfessional Organizational Activities: District: State: National:Statement: I welcome an opportunity to serve members of the Kentucky Nurses Association and our profession at large . I have enjoyed being a member of the profession for seventeen years . Early in my career, I spent time at the bedside, practicing as a Medical-Surgical Nurse. Havingcompleted a terminal degree in the Philosophy of Nursing, I am now practicing as a nurse educator at Eastern Kentucky University in the Baccalaureate and Graduate Nursing program . I have a strong commitment to nurturing students and young nurses, building collaborative relationships and strengthening the nursing workforce in our state .

Rhonda G. Vale, MSN, RN – District 4Present Position: Campbellsville UniversityType of Position: Instructor of NursingArea of Expertise: EducatorEducation: University of Maryland, University College, AA Management Students; Austin Peay State University, BSN; Western Kentucky University, MSNProfessional Organizational Activities: District: State: National:Statement: In running for the office on the Nominating Committee, I will do my best to seek to serve the needs of professional nurses by collaborating with other committee members to identify and recruit leaders who will serve the interests of the professional nursing community as well as the client populations of Kentucky . I obtained my BSN from Austin Peay State University in May 2002, and my MSN from WKU in May 2012 . I began serving on the nominating committee for District 4 in November of 2011 and have had the pleasure of workingwithsomeextremelytalentednursesduringthat time! If elected to this position I will do my best tofulfilltheexpectationsoftherole.

OPEN– DistrictPresent Position:Type of Position:Area of Expertise:Education:Professional Organizational Activities: District: State: National:Statement:

EDUCATION & RESEARCH (3)

NURSE ADMINISTRATOR (1)Marcia B. Hobbs, DSN, RN – District 5Present Position: Murray State UniversityType of Position: Dean, School of NursingArea of Expertise: Educational AdministratorEducation: University of Alabama at Birmingham, DSN; University of Hawaii at Manoa, MS; DePauw University, BSNProfessional Organizational Activities: District: MO State Executive Board State: MO Nurses Association Foundation, Vice President MO Association College of Nursing National:Statement:

Biographical Information continued on page 10


NURSE FACULTY (1)Jacquelyn Reid, MSN, EdD, CNE, APRN –District 1Present Position: Indiana University SoutheastType of Position: Professor and Interim DeanArea of Expertise: Administrator, EducatorEducation: Indiana University, EdD; Case Western University, MSN; Indiana University, BSNProfessional Organizational Activities: District: State:EducationandResearchCabinet(2011-2013),Multiple committees, President-Elect, PresidentNational:Statement:

STAFF NURSE (1)Kim Bourne, MSN, RN, SANE, CEN – District 7Present Position: Greenview Regional Hospital and Western Kentucky UniversityType of Position: Greenview House Supervisor and WKU Clinical InstructorArea of Expertise: Educator, Staff Nurse, Supervisor/ManagerEducation: Western Kentucky University, MSN; Saint Francis College, BSNProfessional Organizational Activities: District: State:EducationandResearchCabinet (2011-2013)National:Statement: I have been a nurse for 17 years . In this time, I have seen many changes in nursing . I feel this position will help me stay current on the trends, challenges and changes that go along with our chosen profession . It will also allow me to be part of the decision-making process regarding theknowledge about the changing processes and laws and stay actively involved in order to make informed decisions that will improve the care of patients and the safety of nurses .

GOVERNMENTAL AFFAIRS CABINET (3)

MEMBERS AT LARGE (2)Joe Middleton, MSN, RN, CEN, CC/NRP – District 7Present Position: Caverna Memorial HospitalType of Position: House ManagerArea of Expertise: Supervisor/ManagerEducation: Spalding University, MSN; Western Kentucky University, BSN, ASN, AASProfessional Organizational Activities: District: State: Chairperson, Governmental Affairs Cabinet National:

Biographical Information continued from page 9 Statement: Being from a small community, I understand how to work for the availability and improvement of healthcare services and standards through personal initiative and influences . I have enjoyed serving this term with the Governmental Affairs Cabinet . We are working to increase the activity of the cabinet and are striving to bring it to the forefront of communication between this organization and the governmental units of Kentucky . I ask for your vote in support of me continuing to utilize my education and experiencein advancing the profession of nursing through the KNA – Governmental Affairs Cabinet .

Sonia Rudolph, MSN, RN, APRN, FNP-BC – District 1Present Position: Jefferson Community & Technical CollegeType of Position: Nursing Division ChairpersonArea of Expertise: Administrator, Nurse PractitionerEducation: Jefferson Community College, ADN; Spalding University, BSN, MSN, FNPProfessional Organizational Activities: District: State: Governmental Affairs Cabinet National:Statement: I am very interested in governmental affairs issues affecting all nurses and patients across the Commonwealth . I would like to serve in this role to help advocate for those populations across the state .

STAFF NURSE (1)Jennifer Miller, MSN, RN – District 9Present Position: Kentucky State UniversityType of Position: Nursing Faculty MemberArea of Expertise: Educator, Staff NurseEducation: University of Kentucky, PhD Currently Enrolled; Indiana Wesleyan University, MSN Education; University of Kentucky BSN; Midway College, ADNProfessional Organizational Activities: District: State: Secretary of Governmental Affairs Cabinet National:Statement:

PROFESSIONAL NURSING PRACTICE & ADVOCACY CABINET (4)

ADMINISTRATIVE ROLE (1)Ann W. Christie, MSN, RN, NE-BC – District 7Present Position: T . J . Samson Community HospitalType of Position: Director of CCU/CTU/Cardiac ServicesArea of Expertise: Supervisor/ManagerEducation: Western Kentucky University, Associate of Sciences in Nursing; McKendree University, BSN and MSNProfessional Organizational Activities: District: State: National:Statement: It is my desire, as a member of the Professional Practice and Advocacy Cabinet, to assist in promoting the practice environment of nursing . I feel we can work together to mentor our new nurses in developing an awareness of nursing values, as well as the professional, legal and ethical standards of nursing practice . By being a member of this cabinet, I believe it allows me to be part of a culture where nurses work together to transform nursing by promoting the recognition of professional achievementandexcellenceforregisterednurses.

CLINICAL PRACTICE (1)Samantha Port, MSN, MBA, RNC-OB, C-EFM – District 4Present Position: Hardin Memorial HealthType of Position: Magnet Program ManagerArea of Expertise: Magnet Program Manager, Clinical PracticeEducation: Campbellsville University, MBA in Health Administration; Western Kentucky University, MSN Nursing Education; BSN, ADNProfessional Organizational Activities: District: State: National:Statement: I seek your vote for election to the Professional Practice and Advocacy Cabinet . I am committed to professional nursing practice and welcome the opportunity to share my expertisewith other cabinet members as we work together to enhance professional nursing practice throughout the Commonwealth .

CLINICAL PRACTICE STAFF NURSE (1)Loretta Elder, RN, MSN, CAPA, CNE – District 11

Present Position: Madisonville Community College and TroverType of Position: Associate Professor at Madisonville Community . Same Day Surgery at Trover .Area of Expertise: Educator, Staff NurseEducation: University of Southern Indiana, MSN; Murray State University, BSN; Madisonville Community College, ADNProfessional Organizational Activities: District: District 11 President Present . Also served as Kentucky Association of Nursing Student’s AdvisorState: Professional Nursing Practice and Advocacy Cabinet National:Statement: I would like to ask for your support as I seek tobe re-electedasoneof themembersofthe Professional Nursing Practice and Advocacy Cabinet . Currently, I serve as president of District 11 . I also have served as the advisor of the Kentucky Association of Nursing Students . I am presently serving a term on the Professional Nursing Practice and Advocacy Cabinet . I have been in nursing since 1978 and still am passionate about my role as anurse . I presently teach in the Associate Degree Nursing Program at Madisonville Community College and also work PRN as a staff nurse on an Ambulatory Surgery Unit . I believe nursing should be held to the highest standards and I take a strong stand in thenurse’s role inpatientadvocacy.Theseare two of the major reasons why I am interested in this position .

EDUCATION ROLE (1)Marsha Woodall, MBA, MSN, RN – District 11Present Position: Madisonville Community CollegeType of Position: Associate Professor of NursingArea of Expertise: EducatorEducation: University of Southern Indiana, MSN, National University of San Diego, Master of Business Administration in Health Care Administration; Murray State University, BSNProfessional Organizational Activities: District: Vice President State: National:Statement: I would like to be considered for the position of Nurse Educator on the Education and Research Cabinet . I feel like my education and work experience have prepared me for this position andhave allowed me to see the importance of nursing education from a broad spectrum . Educators need to prepare students to become nurses who can work in the diverse healthcare environment . I am a firm believer in promoting and teaching evidence-basedpractice for nursing . I hope that by my serving on this Cabinet in this position I can influence and mold nursing education for the future .

KENTUCKY NURSES FOUNDATION (KNF) BOARD OF TRUSTEES (4)OPEN – DistrictPresent Position:Type of Position:Area of Expertise:Education:Professional Organizational Activities: District: State: National:Statement:

OPEN – DistrictPresent Position:Type of Position:Area of Expertise:Education:Professional Organizational Activities: District: State: National:Statement:



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Poster Presentations 2012 ConventionEffects of Simulation Use on

Knowledge and Confidence in Nursing Students

Kim Bourne, BSN, RN, SANE, CENGreenville Regional Hospital

Glasgow, Kentucky

Simulation use in nursing schools is gaining momentum. The life sized mannequins allowstudents to apply theory to practice thus increasing knowledge and confidence without endangering patients . Few studies have been performed on the effective use of simulators in nursing schools . This review of literature was conducted to analyze and evaluate studies that looked at the effects of knowledge and confidence on nursing students who received simulation use as a teaching method versus students who received no simulation use . As few studies had been performed and published priorto2005,thisreviewincludesarticlespublishedbetween July 2005 and September 2011. Theoverall results of the studies are in favor of using simulators as a teaching tool for all levels in nursing programs . The majority of studies show an increase in knowledge acquisition and confidence aftersimulation use . A repeated limitation in the studies is the use of small sample sizes . All reviewed studies indicate further research is needed on how simulator use versus no simulator use affects knowledge acquisitionandconfidence innursingstudentswhoare completing clinical hours .

Nurse Manager Leadership Behavior And Staff Nurse Job

Satisfaction

Lorraine B. Bormann, PhD, RN, MHA, CPHQ

ABSTRACTUnderstanding the staff nurse perception of

their nurse manager leadership behaviors that are related to staff nurse job satisfaction will contribute to improving staff nurse retention strategies . The Magnet Recognition program is one approach to improving staff nurse job satisfaction and retention . The Magnet Recognition program considers that thenurse leadersare thekey tonursing excellence(American Nurses Credentialing Center [ANCC],n .d .) .

The relationship between the staff nurse perception of their nurse manager leadership behaviors is associated with both the facets of staff nurse job satisfaction (job satisfaction with: work on present job, pay, promotion, supervision, and co-workers) and staff nurse overall jobsatisfaction in an acute care hospital applying for Magnet Recognition status . The intent to depart is conceptually and empirically shown to be a direct antecedent to actual turnover . Overall job satisfaction and turnover are inversely related . Brodke et a. (2009) reportedoverall job satisfactionwasthebestpredictorofintenttoquit.

Hospitals are challenged to understand factors related to staff nurse retention in the context ofthe nursing shortage slowdown (Huselid, 19995;Mancino,2008;Mancino,2009).

Leadership is a major factor in organizational success (Gandossy & Guarnieri, 2008); Gettler, 2003; Wooten & Crane, 2003) and nurse managers are the direct link between the executive nurseleaders and the registered nurses in the staff position (Taunton, Boyle, Woods, Hansen, & Bott, 1997).

Studies show that nurse manager leader behaviors influence staff nurse job satisfaction (Bldgen, 1993; Irvine & Evans, 1995; Lashinger &Finegan,2005). Aprimary roleof thenurse leaderis to plan strategies for recruiting nursing personnel and to prevent rapid and frequent turnover ofnursing staff (American Nurses Association [ANA]Nursing Administration Scope and Standards of Practice,2009).Nursemanagersare inpositions toinfluencestaffnurses’jobsatisfactionandretentionthrough their leader behaviors .

Transformational leadership behaviors of nurse managers are related to facets of staff nurses’ jobsatisfaction and can result in developing qualitynurse manager leadership training programs

and improve staff nurse job satisfaction and retention . The results of this research study found that the staff nurse respondents perceived their nurse manager leadership behaviors as less transformational than the norm . This is a problem because Magnet status hospitals strive for nursing excellencethroughtransformationalleadership.

REFERENCESAmerican Nurses Association [ANA]. (2009). ANA

nursing administration: Scope and standards of practice. Silver Spring, MD: American Nurses Association .

American Nurses Credentialing Center [ANCC].(n .d .) . Magnet recognition program. A new model for ANCC’s Magnet recognition program. Retrieved from http://www1 .va .gov/nursing/docs/ANCC_NewMagnetModel .pdf

Blegen, M. A. (1993). Nurses’ job satisfaction:A meta-analysis of related variables. Nursing Research, 42,36-41.

Brodke, M ., Sliter, M ., Balzer, W ., Gillespie, J ., Gillespie, M., Gopalkrishnan, P., et al. (2009).The job descriptive index and job in general: 2009 revision quick reference guide. Bowling Green, OH: Bowling Green State University .

Gandossy, R ., & Guarnieri, R . (2008) . Can you measure leadership? MIT Sloan Management Review, Fall,65-69.

Gettler,L. (2003).JayConger:Whychief executivesfail . Retrieved from Management Today http://www .aim .com .au/resources/article_jconger .html

Huselid, M. (1995). The impact of human resourcemanagement practices on turnover, productivity, and corporate financial performance . Academy of Management Journal, 38,635-872.

Irvine,D.,&Evans,M. (1995).Jobsatisfactionandturnover among nurses: Integrating research findings across studies . Nursing Research, 44, 246-252.

Laschinger, H., & Finegan, J. (2005). Usingempowerment to build trust and respect in the workplace: A strategy for addressing the nursing shortage . Nursing Economics, 23,6-13.

Mancino, D . (2008) . The nursing shortage: Predictions and predicaments . Dean’s Notes. 30, 1-2.

Mancino, D. (2009). Entry level positions for newgraduates: Real-time dilemma requires real-timesolutions . Dean’s Notes, 31,1-3.

Taunton, R ., Boyle, D ., Woods, C ., Hansen, H ., & Bott, J. (1997).Manager leadership and retentionof hospital staff nurses . Western Journal of Nursing Research, 19,205-226.

Wooten, L ., & Crane, P . (2003) . Nurses as implementers of organizational culture . Nursing Economics, 21,275-279.

Student Retention Initiatives in a Baccalaureate Nursing Program

Christa Bledsoe, Morehead State UniversityAssistant Professor of Nursing - BNP

Recruitment of nursing students in baccalaureate programs is becoming more diverse in areas such as age, ethnicity, language, gender, and prior educationalexperiences.Facultyandadministratorshave a professional responsibility to maximizematriculation in the program . Emphasis on student retention is essential in nursing programs through a multidimensional approach . Academic and nonacademic struggles are identified to promote student success . This can be accomplished by using a variety of student retention strategies, such as use of new technology, innovative teaching and learning techniques, “at-risk” student retention algorithms,ad hoc program retention committee, tutoring/remediation processes . Professional organization involvement, active advising, and the presence of faculty with students in and outside of the classroom are other initiatives being used by the bachelor nursing program at a regional public university . A faculty and student tool was developed to obtain vital retention information . Student retention data is collected and analyzed to find the most effective strategies to be used in the dynamic process that is continually changing to meet student needs .

Facilitators and Barriers toSelf-Management of Type 2

Diabetes Among Rural African American Adults

Dana Manley, PhD, BSN, RNKaty Garth, PhD, FNP-BC, BSN, RN

Dina Byers, PhD, APRN, ACNF-BC, BSN, RNDine Chlebowy, PhD, BSN, RN

Introduction: The purpose of this study was to replicate the study conducted by Chlebowy, Hood, and LaJoie (2010) to identify facilitators of and barriers to self-management of type 2 diabetesmellitus (T2DM) among African American adults living in rural communities . Research indicates that AfricanAmericansexperiencehigherratesofT2DMand its complications than other racial groups . In Kentucky, diabetes is now the fourth leading cause of death by disease among African Americans . African Americans have a higher incidence of kidney disease, heart disease, stroke, blindness, neuropathy, and loss of limb due to diabetes than other populations . Many of these complications can be minimized or prevented with effective diabetes self-management.

Methods: Twenty-two African American Adultswith T2DM were recruited from three churches and one health department in rural communities in Kentucky . Focus groups were conducted to identify factors that made managing diabetes easier (facilitators) and factors that made managing diabetes more difficult (barriers) . Demographic data wascollectedusinga10-itemsurvey,focusedontheparticipants’ personal, social and medical historyrelated to their diabetes . Focus group data were transcribed,

Results: Findings reveal that support was the primary facilitator of self-management. Supportfrom family, friends, and health care providers which encouraged them to seek information and adhere to diet and medications helped with management . Identified barriers to self-management includedfear, perceived beliefs about their health status, and difficulty making lifestyle changes .

Discussion and Conclusion: T2DM is a serious health problem in the African American population . Interventions should be designed that focus on providing support for African Americans with T2DM . Additionally, interventions should focus on overcoming the identified barriers to assist them in taking control and feeling empowered to effectively self-manageT2DM.

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Dynamic Career Opportunity

MildredMitchell-BatemanHospitalisa110-bedAcuteCareMentalHealthfacilityoperatedbytheWestVirginiaDepartmentofHealth&HumanResources. Surrounded by beautiful mountains, the Hospital is located in the second largest city in West Virginia on the banks of the Ohio River, only minutesawayfromOhio&Kentucky.

We are seeking qualified staff to fill permanent and temporary positions.• Nurse Supervisor • Staff RNs • LPNs • Health Service Workers • Unit Clerk • Interpreter

Temporary positions do not include benefits.Interested individuals should contact:

Patricia G. Hamilton, RN, BC Director of [email protected]

1530 Norway Avenue, Huntington, WV 25709Phone 304-525-7801 X 227

FAX 529-6399

www.batemanhospital.orgMildred Mitchell-Bateman Hospital is a Drug Free Workplace.

Minorities are encouraged to apply. Equal Employment Opportunity Employer

Full-Time Positions Come with Generous State of

West Virginia benefits!


TheHumanTouch

Copyright 1980Limited Edition Prints

byMarjorie Glaser Bindner

RN Artist

Limited Edition Full Color PrintOverall size 14 x 18

Signed and numbered (750)—SOLD OUTSigned Only (1,250)—$20.00

Note Cards—5 per package for $6.50

THE PAINTING

“The Human Touch” is an original oil painting 12” x 16” on canvas which was the titledpainting of Marge’s first art exhibit honoringcolleagues in nursing . Prompted by many requestsfromnursesandothers,shepublisheda limited edition of full color prints . These may be obtained from the Kentucky Nurses Association .

The Human Touch

Her step is heavyHer spirit is highHer gait is slowHerbreathisquickHer stature is smallHer heart is big .She is an old womanAt the end of her lifeShe needs support and strengthFrom another .

The other woman offers her handShe supports her armShe walks at her paceShe listens intentlyShe looks at her face .She is a young woman at theBeginning of her life,Butsheisalreadyanexpertincaring.

RN PoetBeckie Stewart*

*I wrote this poem to describe the painting, The Human Touch by Marge .” Edmonds,Washington1994

FOR MAIL OR FAX ORDERS

I would like to order an art print of “The Human Touch”©

________ Signed Prints @ $20.00 _________ Total Purchases ________ Package of Note Cards @ 5 for $6.50 _________ Shipping & Handling (See Chart)

_________ Subtotal ________ Framed Signed Print @ $180.00 _________ Kentucky Residents Add 6% Kentucky Sales Tax _____Gold Frame Tax Exempt Organizations Must List Exempt Number _____Cherry Wood Frame _________TOTAL

Make check payable to and send order to: Kentucky Nurses Association, P.O. Box 2616, Louisville, KY 40201-2616 or fax order with credit card payment information to (502) 637-8236.For more information, please call (502) 637-2546.

Name: ________________________________________________________________________ Phone: _____________________

Address: ___________________________________________________________________________________________________

City: ______________________________________________________ State___________ Zip Code: ______________________

Visa/MasterCard/Discover:____________________________ Expiration Date: ________________________________________

Signature (Required): _______________________________________________________________________________________

Shipping and Handling

$ 0.01 to $ 30.00 . . . . . . . . . . . . . . . . . . . . . . . $6.50

$ 30.01 to $ 60.00 . . . . . . . . . . . . . . . . . . . . . $10.95

$ 60.01 to $200.00 . . . . . . . . . . . . . . . . . . . . $35.00

$200.01 and up . . . . . . . . . . . . . . . . . . . . . . . $55.00

*Express delivery will be charged at cost and will be charged to a credit card after the shipment is sent.

Professional Nursing in Kentucky * Yesterday *Today Tomorrow

KNA’s limited editionwas publishedin 2006 . Graphics by Folio Studio, Louisville and printing by Merrick Printing Company, Louisville .

Gratitude is expressed to Donorswhose names will appear in the book’s list of Contributors. Theirgifts have enabled us to offer this limited edition hard-back coffee-table-typebookatBelowPublicationCost for Advance Purchase Orders .

The Editors have collected pictures, documents, articles, and stories of nurses, nursing schools, hospitals, and health agencies to tell the story of Professional Nursing in Kentucky from1906tothepresent.

Publication Price - $20.00______ $20 .00 per book______Add$6.50shippingandhandlingperbook (for2-5books-$10or6-19books-$20)______ Total Purchase______ Grand Total

Name _______________________________________________

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Signature ___________________________________________

Fax,MailorE-mailOrderto:

Kentucky Nurses AssociationP.O.Box2616Louisville,KY40201-2616FAX:502-637-8236E-mail:[email protected]

KNA MembersOn The Move

Mary Hauser Whitaker Clements, EdD, MSN, RN, has been appointed as Chairperson of the Baccalaureate and Graduate Nursing Program at Eastern Kentucky University .

Connie Lamb, PhD, RN, Associate Professor, Eastern Kentucky University, received her CNE certification .

Jacqueline D. Reid, EdD, MA, BSN, CNE, has been named Interim Dean at Indiana University Southeast in February, 2013 .

Karen M. Robinson PhD, PMHCNS-BC, FAAN, presented “Nurses Involvement in Integrated Primary MentalHealthCare”atthe15thAnnualConferenceof International Society of Psychiatric Nursing in SanAntonio,TexasonApril19,2013.

What’s Happeningin District 2

In February, Kathy Hall presented a program on Professional Nursing and KNA to a group of 28 members and nursing students. The next generalmeeting will be May 21 and Nancy Garth will present an Overview of Bridges out of Poverty Program .

General meetings will be kept consistent as to meeting times and place to help folks remember them . There will be at least four a year, on the third Tuesday at 5:30 at the Chop House on RichmondRoad in Lexington. Students are always welcome.Midway Students had a strong presence at the February meeting . EKU students were challenged to beat this at the March meeting .

Currentlywe’re in theprocessofmatchingemailand land addresses . We want to make sure every member is getting the information about District . If you are reading this and are not getting the emails from District 2, send a note to ellafayhunter@yahoo .com. We’re also revving up the nominatingcommittee todevelopaballot forofficers in2013-14year.Wewelcomenominationsandself-nominations.Send to ellafayhunter@yahoo .com .

Attention District Two Members!!!! Bring a Friend to the meetings! There is a lot going on in the health care field and nursing must be ready with a strong voice. KNA is that voice and you need to be an active part of it . Come and support the organization that supports you . We challenge the male nurses and retired nurses to fill a table at each meeting . We have fun and often offer a CEU with the program offered .

Marguerite Wordell, Secretary

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District #1JoelleMoniqueBelcherMelissa K . BrandsLaura F . BrenzelMarqueriteCelesteBurchAngela P . CalerySarah J . CurryKim J . DeesKatharine Mariah EllisDonna Fischer FarisSharon P . FieldsStephanie Jo FordKendra L . ForemanJoshua Lee GrayR . Maureen GrayMary Jane GreenwellAlexanderGreulichBarbara Anderson HeadLauren Julia HicksDiana HughesWilletta LeeSibam Shamy NabilCharles A . PerryKaren RadabaughCatherine RobertsonWendi L . SmithCandace Chelsey Nelson StopherAnn SwintoskyCris WatkinsKathryn Ann WestDarlena Lee WilsonBrittany Morgan WrightCaraCatherineZangari

District #2Mollie Elizabeth AleshireAnita Michele BatteigerMichael Curran

Elizabeth I . DeeseKelly C . DouglasSusanne Elisabeth ElliottDeborah Leigh GillKathleen A . LoveAlisha MorganSusanHoff-ThomasMary T . KerrC . Preston LewisDawn Donahue ProfitBrandy A . RenfrowJoyce D . RupeKatoshaN.Thornsberry-RussellHeather L . Tucker

District #3Nancy L . ConradSharon DickmanDarleen HeistPatricia Henrich Morris CardonaKaren Sue OtterPatti RhodesJoseph E . WetzelLaurenN.Zappardino

District #4Rebecca J . BrownCynthia Spears FrenchCarolyn A . HobbsShirley A . KinserJayne Kelli LivelyAliceAnneShaughnessy-BegayMary Alleen SipesSheila Smallwood

District #5Pamela D . CherryRose Mondoa

Adriann RobCandi York

District #6Penny C . HarrisEva D . HughesMontgomery D . MooreTara R . Stiles

District #7Patty Lynn BashamApril Dawn BryantBriannah L . DoedenJennifer MaglingerLizabeth P . SturgeonVicki J . TylerJohn Vuong

District #8Meredith BuckmanLois A . MorganDebbie VegaAmanda W . Young

District #9Julia D . CoreyValerie A . DillinghamConnie D . Lamb

District #10Debra J . AnsinelliKathy Lynn BlairWhitney Hatfield

District #11Leah Nicohl JenkinsRobin D . WagenmakerSharon Rose Williamson

Welcome New MembersThe Kentucky Nurses Association welcomes the following new and/or reinstated members since the April / May / June 2013 issue of the

KENTUCKY NURSE

Kentucky Nurses AssociationCalendar Of Events

2013-2014

July 20134 Fourth of July Holiday – KNA Office

Closed

August 201312 Materials Due for the January/

February/March 2013 Issue of Kentucky Nurse

22 1:30 PM Editorial Board, Conference Call

September 20132 Labor Day Holiday – KNA Office

Closed

10 10:00 AM Kentucky Nurses Foundation, Conference Call

October 20133 6:00 PM KNA Board of Directors

Meeting, Capital Plaza Hotel, 405WilkinsonBoulevard, Frankfort, KY 40601

4 HealthCare Summit 2013 Capital Plaza Hotel, 405 Wilkinson

Boulevard, Frankfort, KY

November 201311 Materials Due for the January/

February/March 2014 Issue of Kentucky Nurse

28-29 ThanksgivingHoliday–KNAOfficeClosed

December 201320-31 ChristmasHoliday–KNAOffice

Closed

*All members are invited to attend KNA Board of Directors meetings (please call KNA first to assure seating, meeting location, time and date)

Human Touch Collection: EMPATHY “EMPATHY”© is a fine Jewelry signature piece of the Human Touch Jewelry Collection. The title connotes caring, compassion, affinity, sympathy and Understanding between two persons—“What comes from the heart touches the heart” (Don Sibet)

EMPATHY was designed by professional nurses working in concert with nationally renowned silversmith Joseph Schmidlin. All proceeds from the sale of the jewelry will go toward scholarships for individuals who are currently working on becoming a nurse or advancing their nursing degree.Actual Size 2 1/2 x 1 11/16”

There are three options available to choose from: Option 1 Option 2 Option 3

Sterling silver 14k gold vermeil over Sterling silver with a sterling silver 14k gold heart

Cost $77.00 $100.00 $150.00Discount25% -19.25 -25.00 -37.50New Price $57.75 $75.00 $112.50Tax $3.47 $4.50 $6.75TOTAL $61.22 $79.50 $119.25

Payment Method: _________ Cash _______ Check (make check payable to: KNA- District 1)

Credit Card: ____________ Visa _________ MasterCard ___________ Discover

Number: _________________________________________ Exp. Date: ____________________________

Mail to: _________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

Phone Number: ________________________________________________

Send Payment to: Kentucky Nurses Association - District 1 PO Box 2616, Louisville, KY 40201-2616 FAX: (502) 637-8236

For more information, contact KNA at (502) 637-2546.

Jewelry Amount

Tax

Postage, add $6.50

Total

Can be worn as a pin or pendant.

“NURSING: LIGHT OF HOPE”by

Scott GilbertsonFolio Studio, Louisville, Kentucky

Photo submitted by the Kentucky Nurses Association, July 2005 to the Citizens Stamp Advisory Committeerequesting thata firstclassstampbe issuedhonoringthenursingprofession.(RequestPending)

Packageof5NoteCardswithEnvelopes-5for$6.50

I would like to order “Nursing: Light of Hope” Note Cards

______ PackageofNoteCards@5For$6.50 ______ Shipping and Handling (See Chart) ______ Subtotal ______ KentuckyResidentsAdd6%KentuckySalesTax ______ TOTAL

Make check payable to and send order to: Kentucky Nurses Association, P.O. Box 2616, Louisville, KY 40201-2616 or fax order with credit cardpaymentinformationto (502)637-8236.Formoreinformation,pleasecall(502)637-2546.

Name: _______________________________________ Phone: _____________________

Address: __________________________________________________________________

City: ________________________________ State: ______ZipCode: _____________

Visa / Master Card / Discover: ____________________________________________

ExpirationDate: ________________________

Signature (RequiredforCreditCardOrders): __________________________________

Shipping and Handling$0.01-$30.00…...$6.50 $60.01-$200.00……$20.00$30.01-$60.00…..$10.95 $200.01andup…...…$45.00*ExpressDeliverywill be chargedat cost andwill be charged toa creditcard after the shipment is sent .


KENTUCKY NURSES ASSOCIATIONMEMBERSHIP APPLICATION FORM

How Did You Hear About KNA? ________________________________________________________________________

❑ Mrs . ❑ Ms . ❑ Miss ❑ Mr . All Credentials: __________________________________________________

Last Name: Graduation Month & Year: ___________________________________________________ __________________________________________________

First Name: Pre-LicensureProgram: ___________________________________________________ __________________________________________________

Middle Name: Employer: ___________________________________________________ __________________________________________________

Maiden Name: Employer Address: ___________________________________________________ __________________________________________________

Nick Name: EmployerCity/State/ZipCode: ___________________________________________________ __________________________________________________

Mailing Address: Work Phone: ___________________________________________________ __________________________________________________

City/State/ZipCode: WorkFax: ___________________________________________________ __________________________________________________

Home Phone: WorkE-Mail: ___________________________________________________ __________________________________________________

HomeE-Mail: ___________________________________________________

RN Licensure Number: ___________________________________________________

State of Licensure: ___________________________________________________

I. MEMBERSHIP CATEGORIES(choose one)

____ FULL MEMBER (Select One)

____ Full Membership/Full Time Employment

____ Full Membership/Part Time Employment

____ ASSOCIATE MEMBER(Receives Full Benefits) (Select One)

____ 1) RN enrolled in at least half time study as defined in KNA policies* * School

__________________________________________(KNA reserves the right to verify enrollment)

____ 2) Graduate of prelicensure program within one year of graduation

__________________________________________(KNA reserves the right to verify enrollment)

____ 3) Registered nurse not employed

____ SPECIAL MEMBER (select one)

____ 1) Registered nurse who is retired and not actively employed in nursing

____ 2) Registered nurse who is currently unemployed as nurse due to disability

____ 3) Impaired registered nurse with limited membership

NOTE: Your dues include the following annual subscriptions: The American Nurse, the American Nurse Today, and The Kentucky Nurse

Make Checks Payable to:AMERICAN NURSES ASSOCIATION

MAIL CHECK AND APPLICATION TO:

KENTUCKY NURSES ASSOCIATIONP.O. Boxc 2616Louisville, KY 40201-2616Tel:(502)637-2546Fax:(502)637-8236

TO PAY USING A BANK CARD

________________________________________________Visa / Mastercard

________________________________________________CardExpirationDate

________________________________________________Signature

State Nurses association dues are not deductible as charitable contributions for tax purposes, butmaybedeductibleasabusinessexpense.Consultyourtaxadvisor.

II. PAYMENT OPTIONS(Amount Includes ANA/KNA/District

Membership)

FULL MEMBER ___ Monthly—$24.75—Withdrawal from your

checking account . (Enclose check for 1st month payment. Signature is requiredbelow .* See monthly bank draft section)

___ Annual—$291.00—Enclosecheckorpaybycredit card

ASSOCIATE MEMBER

___ Monthly—$12 .63—Withdrawal from your checking account (Enclose check for 1st month payment. Signature is requiredbelow .* See month ly bank draft section .)

___ Annual—$145.50—Enclosecheck

SPECIAL MEMBER

___ Monthly—$6.56—Withdrawal from yourchecking account (Enclose check for 1st month payment. Signature is requiredbelow .* See m onthly bank draft section)

___ Annual—$72.75—Enclosecheck

*MONTHLY BANK DRAFTIn order to provide for convenient monthly

payments to American Nurses Association, Inc (ANA), this is to authorize ANA to withdraw 1/12 of my annual dues from my checking account on the 15thof eachmonth;ANA is authorized to changethe amount by giving the undersigned thirty (30) days written notice; the undersigned may cancel thisauthorizationuponwrittenreceiptbythe15thof each month

* ______________________________________________Signature for Bank Draft Authorization

KNA Use Only

State _______________ District ___________________

Exp.Date __________ Payment Code _____________

Approved by ________ Date _____________________

Amount Enclosed _______________________________

Apply Now for KY Nurses Foundation Scholarships

and Research Grants!The Kentucky Nurses Foundation (KNF) mission

is to promote the highest level of health for the citizens of the Commonwealth of Kentucky by advancing the practice of nursing through nursing scholarships and healthcare research . In October KNF will be awarding two scholarships for $1,500each to RNs enrolled in programs to attain advance degreesandforpre-licensureRNstudents.KNFalsoplans to award a research project that promotes the advancement of nursing practice and contributes to improved health outcomes .

This is a wonderful opportunity for current RNs to receive financial support to offset the cost of higher education . For more information and to obtain application forms check out the KNA-KNF website:www.kentucky-nurses.org/KNF_scholarships.phpandwww.kentucky-nurses.org/KNF_grants.php .

KNA Centennial VideoLest We Forget Kentucky’s

POW NursesThis 45-minute video documentary is a KNACentennial Program Planning Committee project and was premiered and applauded at the KNA 2005 Convention. “During the celebration of 100 years of nursing in Kentucky—Not To Remember The Four Army Nurses From Kentucky Who Were Japanese prisoners for 33 months in World War II, would be a tragedy. Their story is inspirational and it is hoped that it will be shown widespread in all districts and in schools throughout Kentucky.

POW NURSESEarleen Allen Frances, Bardwell

Mary Jo Oberst, OwensboroSallie Phillips Durrett, Louisville

Edith Shacklette, Cedarflat

_____ Video Price: $25.00 Each

_____ DVD Price: $25.00 Each

_____ Total Payment

Name _________________________________________

Address _______________________________________

City ___________________________________________

State,ZipCode _______________________________

Phone ________________________________________

Visa * MasterCard * Discover *

Credit Card # _________________________________

Expiration ____________________________________

Signature _____________________________________(Required)

Kentucky Nurses AssociationP.O. Box 2616

Louisville, KY 40201-2616Phone: (502) 637-2546 Fax: (502) 637-8236


Health Care Professionals Wanted:Kentucky Department for Community Based Services (DCBS) hasapproximately 130 children designated as medically fragile in foster care.

Health care professionals are needed to providefoster homes and in some cases adoptions for thesechildren. The Cabinet provides many resources toassist families which include; daily per diem ratesand medical coverage for the children.

Information regarding fostering or adopting a medically fragile child or one ofover 400 children waiting for adoption, please call 1-800-232-KIDS (5437).

Kentucky Cabinet for Health & Family ServicesDepartment for Community Based Services

www.chfs.ky.gov

In partnership with DCBS, the University of Kentucky’s Training Resource Center (TRC) recognizes foster care and adoption as a unique commitment to the safety, permanency and well-being of children. The TRC (www.uky.edu/TRC/Programs) offers support and enrichment to resource parents by providing support groups, training and mentoring services.

Earn a Credential That’s in Demand Nationwide

• “Top 15” ranked nursing school• Practice specialties for all interests• State-of-the-art nursing informatics and facilities• Community of scholars with broad faculty expertise• Distance learning opportunities

• Seamless BSN entry-MSN-DNP option

Learn more. Apply today.www.nursing.vanderbilt.edu

Master of Science in Nursing (MSN)

Doctor of Nursing Practice (DNP)

PhD in Nursing Scienceclinical interventions, health services research

JoinKNA

Today!Application on page 14

or join online atwww.kentucky-nurses.org

Simplify your nursing

research...

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nursingALD.comAccess Kentucky Nurse as well as over 5 years of 39 State Nurses Association

and Board of Nursing Publications.

Contact us at (800) 626-4081 for advertising information.


Did you know that nearly a quarter of our students attend part time? You can work, have a family life and work toward your next nursing degree with our hybrid programs, designed for working nurses.

RN-BSN | BSN-DNP | MSN-DNP | BSN-PhD | MSN-PhD

Check out our website, www.uknursing.uky.edu. Contact our Student Services sta� with questions. Let us show you how others have done it and you can, too!

Our DNP tracks include: Adult-Gerontology Acute Care Nurse Practitioner | Adult-Gerontology Clinical Nurse Specialist | Pediatric Nurse Practitioner | Populations and Organizational Systems Leadership | Primary Care Nurse Practitioner (family or adult-gerontology) | Psychiatric/Mental Health Nurse Practitioner

It’s a balancing act you can do.

WE ARE CURRENTLY RECRUITING FOR EXPERIENCED RNs IN THE FOLLOWING AREAS:

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• Service Line Manager/Perioperative Services

For more information on employment at UKHC, including the possibility of advancing your education and qualifying for tuition reimbursement, visit our employment website at

www.uky.edu/hr/ukjobs.

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Apply online at OwensboroHealth.org/careers

2009, 2010, 2011 & 2012Distinguished Hospital Awardsfor Clinical Excellence.TM

We are inventing a new future for those we serve.We are rising to meet the medical needs of thiscommunity while exceeding national expectations.

We are rising just like we always have – as wehumbly serve in this community we all call home.And, we’re shining by harnessing the vision ofsharp, talented, committed caregivers who providemedical excellence with compassion, empathy andhearts that care.

For those in medicine who want a greaterchallenge, a greater community in which to live,work and raise their families – apply yourself here...

Because at Owensboro Health the future looksbright, and we’re gladly rising to meet it.

It’s a new day.Let’s rise.

Let’s shine.

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An Award Winning Publication · 2018-03-31 · membership services. Any material appearing herein may be reprinted with permission of KNA. (For advertising information call 1-800-626-4081,